Individual provider Active NPI

Alisha Martin, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hauppauge, NY
National Provider Identifier
1184339301
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9562959 Issued in FL
Practice address
150 Motor Pkwy Ste 401
Hauppauge, NY 11788-5108
Phone
(516) 505-7200
Fax
(949) 419-3482
NPI assigned
Jan 23, 2023
Last updated
Jul 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 406754 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9562959 FL Primary

Addresses

Primary practice location

150 Motor Pkwy Ste 401
Hauppauge, NY 11788-5108

Mailing address

150 Motor Pkwy Ste 401
Hauppauge, NY 11788-5108
Phone (516) 505-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230314000775 FL Practitioner - Nurse Practitioner 8325412406 Reassigns benefits to 1 organization
I20250224002817 NY Practitioner - Nurse Practitioner 8325412406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aldad Medical PCGroup PAC ID 5395152201, 7 clinicians
Aldad Medical PCGroup PAC ID 9234291436, 78 clinicians

Practice addresses (Care Compare)

1600 E 8TH Ave
A200
Tampa, FL 33605-3737
Phone (516) 505-7200

510 Hempstead Tpke
RM 203
West Hempstead, NY 11552-1152
Phone (516) 505-7200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9562959FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aldad Medical PC CurrentSince Feb 4, 2025 Accepting new patients
Aldad Medical PC CurrentSince Mar 15, 2023 Accepting new patients
Aldad Medical PC Psychiatric/Mental Health CurrentSince Mar 15, 2023 Accepting new patients

Locations

801 Brickell Ave
Fl 8
Miami, FL 33131
Phone (305) 871-4420

450 S Orange Ave
Fl 3
Orlando, FL 32801
Phone (407) 212-7113

1600 E 8th Ave
Ste A200
Tampa, FL 33605
Phone (727) 748-4742

150 Motor Pkwy
Ste 401
Hauppauge, NY 11788
Phone (631) 434-5857

27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100

510 Hempstead Tpke
Rm 203
West Hempstead, NY 11552
Phone 51650572001051

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1184339301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MOTOR PKWY STE 401",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117885108",
            "telephone_number": "516-505-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MOTOR PKWY STE 401",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117885108",
            "telephone_number": "516-505-7200",
            "fax_number": "949-419-3482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ALISHA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "406754",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9562959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

Verify at the official NPI Registry.